Provider Demographics
NPI:1164121182
Name:DIAZ TORRES, GRISELDA (ACSW)
Entity type:Individual
Prefix:
First Name:GRISELDA
Middle Name:
Last Name:DIAZ TORRES
Suffix:
Gender:F
Credentials:ACSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:600 W GRAND AVE
Mailing Address - Street 2:
Mailing Address - City:PORTERVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:93257-2029
Mailing Address - Country:US
Mailing Address - Phone:559-793-2400
Mailing Address - Fax:
Practice Address - Street 1:600 W GRAND AVE
Practice Address - Street 2:
Practice Address - City:PORTERVILLE
Practice Address - State:CA
Practice Address - Zip Code:93257-2029
Practice Address - Country:US
Practice Address - Phone:559-793-2400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-28
Last Update Date:2025-11-21
Deactivation Date:2023-02-28
Deactivation Code:
Reactivation Date:2023-03-10
Provider Licenses
StateLicense IDTaxonomies
CA113812101YM0800X, 104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No104100000XBehavioral Health & Social Service ProvidersSocial Worker